RESUMO
Intratesticular leiomyosarcoma is an extremely rare tumor of the genitourinary system. We report a case of intratesticular pleomorphic leiomyosarcoma in a 68-year-old male who presented with gradual painless enlargement of the right scrotal mass over a period of 1-2 years. Radiological examination revealed a right testicular tumor.Right radical orchiectomy was performed with high ligation of the spermatic cord. Histopathological examination along with immunohistochemistry confirmed the diagnosis of a pleomorphic leiomyosarcoma of the testis. This is, to the best of our knowledge, the 13 th case of primary intratesticular leiomyosarcoma and the third case of high-grade (pleomorphic) intratesticular leiomyosarcoma in an elderly male reported in the literature.
Assuntos
Leiomiossarcoma/diagnóstico , Leiomiossarcoma/patologia , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/patologia , Testículo/patologia , Actinas/análise , Idoso , Proteínas de Ligação a Calmodulina/análise , Histocitoquímica , Humanos , Imuno-Histoquímica , Leiomiossarcoma/cirurgia , Masculino , Microscopia , Orquiectomia , Neoplasias Testiculares/cirurgia , Vimentina/análiseRESUMO
A 70-year-old male presenting with abdominal pain was clinically diagnosed to have chronic intestinal obstruction due to lesion in ileo-cecal junction based on barium meal follow through. He underwent right hemicolectomy and the lesion was ascertained to be an intraluminal hydatid cyst in the caecum. Intraluminal cecal hydatid cysts can mimic malignancy on radiological investigations. It should be considered as a differential diagnosis in patients presenting with intestinal obstruction in endemic regions for hydatid disease.
